Does Shockwave Therapy Hurt? An Expert's Perspective

Shockwave therapy is a safe and effective treatment for many tendinopathies, and it has been used as a non-invasive option for pain relief, improved functionality, and improved quality of life. It is usually the first choice for many patients due to its effectiveness and safety. Studies have shown that shockwave therapy can significantly reduce pain and improve functionality and quality of life. The initial result of shockwave therapy is usually a feeling of numbness in the treated area.

This is a temporary response to treatment, meaning that the pain will lessen but will not resolve for several more weeks. However, most patients experience relief from their worst pain after the initial results. Cacchio et al (2) reported a study with high-energy shockwaves versus sham treatment, which showed a significant reduction in pain and increased function between 4 weeks and 6 months of follow-up. Cosentino et al (2) found significant improvement in pain, daily activities, and range of motion by applying 4 shockwave sessions of 1200 shocks after treatment and follow-up evaluations at one and six months using a VAS and a Constant-Murley score.

Othman and Ragab (applied shock waves of energy intensity of 17 to 21 kV, 2 Hz and 1,500-3,000 pulses and showed a marked improvement in pain and 50% of patients had no activity limitation after follow-up for 6 to 11 months. Sound waves stimulate blood flow to the area and also cause a small amount of localized inflammation. Wang et al (20) found a significant improvement in pain intensity, activity, and movement after treatment in one, two or three sessions with 1000 shockwave impulses and this improvement was also evident at the 3- and 6-month follow-up. Reduced pain and improved functionality and quality of life after shockwave treatment increased by at least two points on the five-point Likert scale, both after treatment (p. 103 patients were diagnosed with plantar fasciitis, of whom 88 were the shockwave group (36 men and 52).

women). and 15 the control group (7 men and 8 women).Most patients require three sessions of shockwave therapy, each one a week apart, before noticing significant pain relief. Shockwave therapy is generally safe when administered in a professional setting; however, there are certain circumstances in which it is not recommended. The purpose of this study was to record pain, functionality, and quality of life in individuals suffering from various tendinopathies and subsequently investigate pain reduction, improvement in functionality, and quality of life of the patient both immediately and 4 weeks after intervention shock wave therapy.